Furniture Options
New Customer
Please complete this form below to create your own username and password to access our houseware request system.  It is easy and only takes a minute.  When you have completed the page, please click the Submit button.

Fields marked with a * are required.

Desired Username*
Password*
Confirm Password*
Type of Client*
(If you are renting housewares or furniture for personal use, please select "Individual")
Please enter the type of client:
Name of Company or Apartment Community*
(If you selected "Individual" on the previous question, please enter "Individual" again)
Name of Contact*
E-Mail Address*
Confirm E-Mail Address*
Telephone Number*
Extension
Fax Number
Mailing Address*
City*
State*
Zip*
Ordering Location(s)  Austin
 Dallas
 Des Moines
 Fort Worth
 Houston
 Kansas City
 Little Rock
 Oklahoma City
 Omaha
 St. Louis
 Tulsa
 Wichita
How will you be paying?*      
Is there anything else you would like us to know about
yourselfand/or your company or apartment community?
Do you have any questions?
How did you find out about Furniture Options?*
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